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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243909986
Report Date: 04/26/2022
Date Signed: 04/27/2022 02:22:21 PM

Document Has Been Signed on 04/27/2022 02:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WALLACE, TENEA FAMILY CHILD CAREFACILITY NUMBER:
243909986
ADMINISTRATOR:WALLACE, TENEAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 947-5468
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:noneTIME COMPLETED:
12:00 PM
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LPA arrivede at this address at approximately 11:30am. LPA noticed that the front door was open and a small construction type truck was parked in the driveway. When LPA went to the door she knocked on the door frame and asked for Tenea.

A man came downstairs and said that the home was empty. He stated he was working on the home and that it had been empty for a few weeks that he knew of. When asked when approximately he began working on the home the man stated "late March, early April" he also stated that the home was already empty and alone before he started working there.

This individual denied knowing the individuals who lived there previously.

LPA observed the house to be empty, no furnishings inside. Individual present at home was doing some construction work.

Upon departure, LPA called Tenea Wallace at 209-947-5468 and left a voice mail stating to call her back regarding her child care license and leaving the number 559-341-5431 to return the call.

Visit terminated.
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Stefanie Galvan
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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